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All Journal Respiratory Science
Ni Putu Laksmi Ananda Martini
Abdi Waluyo General Hospital, Jakarta
Health Professions Medicine & Pharmacology

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Role of Interventional Pulmonology in Palliative Care Wahju Aniwidyaningsih; Ni Putu Laksmi Ananda Martini
Respiratory Science Vol. 6 No. 2 (2026): Respiratory Science
Publisher : Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/respirsci.v6i2.200

Abstract

Interventional pulmonology (IP) is a minimally invasive approach that plays a pivotal role in the evaluation and management of advanced thoracic diseases within palliative care. By integrating bronchoscopic and pleural techniques, IP provides effective symptom relief without the need for extensive surgical procedures or prolonged hospitalization. In malignant central airway obstruction, stenting, cryotherapy, and laser debulking offer rapid improvement in airflow and quality of life. For malignant pleural effusion, thoracentesis, pleurodesis, indwelling pleural catheters, and intrapleural fibrinolytic therapy for septated effusions provide safe and cost-effective strategies for symptom control. In selected cases of severe emphysema, bronchoscopic lung volume reduction using endobronchial valves improves lung mechanics and exercise capacity. In contrast, one-way endobronchial valves and spigots are valuable in managing persistent air leaks. With high procedural success rates and favorable safety profiles, IP is broadly applicable across diverse palliative respiratory conditions. Overall, IP provides a safe, effective, and patient-centered solution that complements standard palliative care, ensuring optimal quality of life while minimizing invasive burden.
Co-Authors Wahju Aniwidyaningsih